<style type="text/css">
    .bg {
        background: #fff;
        padding-top: 48px;
        padding-bottom: 10px;
    }
    .transferIntForm{
        border-top: 6px solid #eee;
        padding: 16px 20px;
    }
    .tr_form_group{
        height: 38px;
        line-height: 38px;
        font-size: 12.8px;
        color: #666;
        border-bottom: 1px solid #eeeeee;
        position: relative;
    }
    .tr_form_group input{
        background: transparent;
    }
    .transferIntForm p{
        height: 38px;
        line-height: 38px;
        border-bottom: 1px solid #eeeeee;
    }
    .red{
        color: red;
    }
    .tr_form_group span.lf{
        width: 30%;
        color: #333;
    }
    .confirm_btn,.transfer_record_link{
        display: block;
        width: 100%;
        height: 32px;
        line-height: 32px;
        color: #fff;
        background: #ff6936;
        border:none;
        border-radius: 4px;
        margin-top: 14px;text-align: center;
        font-size: 12.8px;
    }
    .transfer_record_link{
        background: #e3cb05;
    }
    .file_input{
        font-size: 12.8px;
        color: #999;
        position: relative;
        overflow: hidden;
    }
    .file_input input{
        position: absolute;
        width: 100%;
        height: 100%;
        left: 0;
        top: 0;
        z-index: 99;
        opacity: 0;
    }
    .verify_info p{
        font-size: 12.8px;
        color: #333;
        line-height: 36px;
        padding: 0 16px;
    }
    .address_select select{
        border:1px solid #333;
    }
</style>



<div class="pro_header">
    <a href="javascript:history.go(-1)" class="return_btn"></a>
    <?= $this->title ?>
    <a href="<?= url(['site/index']) ?>" class="to_home_btn"></a>
</div>


<form class="transferIntForm">
    <div class="tr_form_group clear_fl">
        <span class="lf">收件人：</span>
        <input placeholder="请输入收件人姓名" />
    </div>
    <div class="tr_form_group clear_fl">
        <span class="lf">联系电话：</span>
        <input placeholder="请填写收件人联系电话" />
    </div>
    <div class="tr_form_group clear_fl">
        <span class="lf">选择地址：</span>
        <div class="clear_fl address_select">
            <select>
                <option>省份</option>
            </select>
            <select>
                <option>地级市</option>
            </select>
            <select>
                <option>市、县级市、县</option>
            </select>
        </div>
    </div>
    <div class="tr_form_group clear_fl">
        <span class="lf">详细地址：</span>
        <input placeholder="请填写详细地址" />
    </div>
    <button type="button" class="confirm_btn">提交</button>
</form>







